| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.03 | $6.03 | $6.03 | |
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Emblem Health
| Professional | $38,018.94 | $38,018.94 | $38,018.94 | |
United
| Professional | $9.55 | $9.55 | $10.72 |